The pharmacological action of salicylate cannot be explained by its inhibition of cyclooxygenase (COX) activity. In this report, the effects of aspirin and sodium salicylate on COX-2 expressions in human umbilical vein endothelial cells and foreskin fibroblasts were evaluated. Aspirin and sodium salicylate at therapeutic concentrations equipotently blocked COX-2 mRNA and protein levels induced by interleukin-1 and phorbol 12-myristate 13-acetate. The suppressing effect was more pronounced in cultured cells deprived of fetal bovine serum for 24 h, suggesting that it may be cell cycle related. Salicylate inhibited nascent COX-2 transcript synthesis but had no effect on COX-2 mRNA stability. It inhibited COX-2 promoter activity in a concentration-dependent manner. In mice pretreated with aspirin (10 and 30 mg͞kg), followed by challenge with lipopolysaccharide, COX-2 mRNA expression in peritoneal macrophages was markedly suppressed. These findings suggest that salicylate exerts its antiinf lammatory action in part by suppressing COX-2 induction, thereby reducing the synthesis of proinf lammatory prostaglandins.Since the classic work of Vane (1), it has been widely accepted that the pharmacological action of nonsteroidal antiinflammatory drugs (NSAID) is mediated by inhibiting the activity of cyclooxygenase (COX), a key enzyme in biosynthesis of proinflammatory prostaglandins. Recent studies implicate COX-2 induction as a critical event in inflammation (2). This notion has been supported by effective suppression of inflammatory responses in experimental animals by selective COX-2 inhibitors (3, 4). Aspirin (acetylsalicylic acid) is a nonselective COX inhibitor (5, 6). Moreover, aspirin is rapidly deacetylated in blood to form salicylic acid. Salicylic acid has been a known NSAID for over a century, but its mechanism of action remains a pharmacological enigma. It has virtually no inhibitory activity against purified COX-1 or COX-2, although it inhibits prostaglandin synthesis in intact cells (7). To elucidate the mechanism by which salicylic acid exerts its antiinflammatory action, we evaluated the effects of aspirin and sodium salicylate on COX-2 expression in human umbilical vein endothelial cells (HUVEC) and human foreskin fibroblasts (HFF) induced by inflammatory mediators. We show here that aspirin and sodium salicylate at therapeutic concentrations suppress COX-2 gene transcription. When administered to mice pretreated with lipopolysaccharide, aspirin inhibited COX-2 mRNA levels in peritoneal macrophages.
MATERIALS AND METHODSMaterials. Recombinant IL-1, phorbol 12-myristate 13-acetate (PMA), sodium salicylate, aspirin, NS398, indomethacin, and lipopolysaccharide (LPS) were obtained from Sigma.Cell Culture. HUVECs were cultured as described (8) in medium 199 containing 20% FBS, 50 g͞ml endothelium cell growth factor, 10 units͞ml heparin, 100 g͞ml streptomycin, and 100 units͞ml penicillin. Only first and second passage cells were used. HFFs were obtained from American Type Culture Collection and were cu...